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Updated: Jan 5, 2026

Microfluidic Tools for Probing Fungal-Microbial Interactions at the Cellular Level
Published on: June 23, 2022
Pathogenetic Impact of Bacterial-Fungal Interactions
Filomena Nogueira1,2,3, Shirin Sharghi4,5,6, Karl Kuchler7
1CCRI-St. Anna Children's Cancer Research Institute, Vienna 1090, Austria. filomena.nogueira@ccri.at.
Abstract:
Polymicrobial infections are of paramount importance because of the potential severity of clinical manifestations, often associated with increased resistance to antimicrobial treatment. The intricate interplay with the host and the immune system, and the impact on microbiome imbalance, are of importance in this context. The equilibrium of microbiota in the human host is critical for preventing potential dysbiosis and the ensuing development of disease. Bacteria and fungi can communicate via signaling molecules, and produce metabolites and toxins capable of modulating the immune response or altering the efficacy of treatment. Most of the bacterial-fungal interactions described to date focus on the human fungal pathogen Candida albicans and different bacteria. In this review, we discuss more than twenty different bacterial-fungal interactions involving several clinically important human pathogens. The interactions, which can be synergistic or antagonistic, both in vitro and in vivo, are addressed with a focus on the quorum-sensing molecules produced, the response of the immune system, and the impact on clinical outcome.
Insights
Polymicrobial infections involving bacteria and fungi present severe clinical challenges and antimicrobial resistance. This review explores over twenty interactions, focusing on immune response and clinical outcomes.
Area of Science:
- Microbiology
- Immunology
- Infectious Diseases
Background:
- Polymicrobial infections pose significant clinical threats due to severity and antimicrobial resistance.
- Microbiota balance is crucial for preventing dysbiosis and disease.
- Bacteria and fungi communicate via signaling molecules, impacting host immunity and treatment efficacy.
Purpose of the Study:
- To review bacterial-fungal interactions involving clinically important pathogens.
- To focus on quorum-sensing molecules, immune response, and clinical outcomes.
Main Methods:
- Literature review of over twenty bacterial-fungal interactions.
- Analysis of interactions focusing on quorum sensing, immune modulation, and clinical impact.
Main Results:
- Interactions can be synergistic or antagonistic, observed both in vitro and in vivo.
- Quorum-sensing molecules play a key role in modulating these interactions.
- Bacterial-fungal interactions significantly influence host immune responses and treatment outcomes.
Conclusions:
- Understanding bacterial-fungal interactions is vital for managing polymicrobial infections.
- Targeting microbial communication and host immune responses may improve treatment strategies.
- Further research into specific pathogen interactions is warranted to combat clinical challenges.
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